Perez Sophia, Shtanko Yulia, Del Pilar Bonilla Lorena, Portnoy William
Medical School, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Translational Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Cureus. 2024 Jul 12;16(7):e64437. doi: 10.7759/cureus.64437. eCollection 2024 Jul.
Lemierre's syndrome (LS) is a rare and severe complication primarily associated with the bacteria and characterized by an oropharyngeal infection leading to bacteremia and septic thrombophlebitis. We present a case of an 89-year-old patient with a history of hypertension who initially presented with type B influenza infection and neck pain. She subsequently developed a neck abscess with thrombosis of the internal jugular vein. We believe this to be the first reported case in the literature of LS secondary to presenting after infection with type B influenza. As more atypical LS cases emerge, it is becoming increasingly clear that this condition can manifest in a number of ways. This unique case highlights the importance of considering LS as a differential diagnosis for patients of all ages presenting with neck pain and infection.
勒米尔综合征（LS）是一种罕见且严重的并发症，主要与细菌有关，其特征为口咽感染导致菌血症和脓毒性血栓性静脉炎。我们报告一例89岁有高血压病史的患者，最初表现为B型流感感染和颈部疼痛。随后她出现了颈部脓肿伴颈内静脉血栓形成。我们认为这是文献中首例继发于B型流感感染后出现的勒米尔综合征报道。随着越来越多非典型的勒米尔综合征病例出现，越来越清楚的是，这种病症可以有多种表现形式。这个独特的病例凸显了将勒米尔综合征作为所有出现颈部疼痛和感染的各年龄段患者的鉴别诊断的重要性。
